Ensuring Access to Medicaid Buy-in Programs Act of 2026

# Ensuring Access to Medicaid Buy-in Programs Act of 2026 – Summary **What the Bill Would Do:** This bill would establish or expand Medicaid "buy-in" programs that allow working people with disabilities to purchase Medicaid coverage while keeping their employment and income. Currently, many people with disabilities lose Medicaid eligibility if they earn too much money or work too many hours, creating a barrier to employment. The bill aims to remove this obstacle by letting disabled workers buy into Medicaid at a reasonable cost rather than losing coverage when their income increases. **Who It Affects:** The primary beneficiaries would be working-age adults with disabilities who want to maintain employment but currently fear losing health insurance coverage.

This includes people with various disabilities—physical, sensory, cognitive, or chronic conditions—who are capable of working but rely on Medicaid for healthcare. **Current Status:** The bill was introduced in the 119th Congress and is currently in committee, meaning it has not yet been debated or voted on by the full Senate. As a bill still in the committee stage, its future passage is uncertain.